Psoriasis chirwere cheganda chisingaperi, chinodzokororwa, chinozvimba uye chinokonzereswa nezvirwere zvemajini uye zvakatipoteredza.Kuwedzera kuzviratidzo zveganda, pachavawo nezvirwere zvemwoyo, zvekugaya chikafu, zvekugaya chikafu uye zvegomarara, nezvimwe zvirwere zvine chekuita nehurongwa hwemuviri. Kunyangwe isingatapurire, inonyanya kukuvadza ganda uye ine simba guru pakuonekwa kwaro, izvo zvinounza mutoro mukuru wemuviri nepfungwa kuvarwere uye zvinokanganisa zvakanyanya kunaka kwehupenyu hwavo.
Saka, ultraviolet phototherapy inorapa sei psoriasis?
1.Tkurapwa kwakajairika kwe psoriasis
Mishonga inotorwa kubva kuganda ndiyo inonyanya kushandiswa pakurapa psoriasis isina kunyanya kuoma kusvika pakati nepakati. Kurapa mishonga inotorwa kubva kuganda kunoenderana nezera remurwere, nhoroondo yake, rudzi rwe psoriasis, mafambiro echirwere uye maronda.
Mishonga inowanzoshandiswa inosanganisira glucocorticoids, vhitamini D3 derivatives, retinoic acid nezvimwewo. Kushandiswa kwemishonga inonwiwa kana biologics senge methotrexate, cyclosporine uye retinoic acid kunokurudzirwa kune varwere vane scalp psoriasis inoperekedzwa nemaronda ari pakati nepakati kusvika akanyanya.
2.THunhu hwe ultraviolet phototherapy
Kurapa nechiedza chezuva (ultraviolet phototherapy) inzira inokurudzirwa zvikuru yekurapa psoriasis pamwe nemishonga. Kurapa nechiedza chezuva (phototherapy) kunonyanya kukonzera kufa kwemasero eT muzvirwere zvepsoriatic, nokudaro kuchidzivisa kushanda zvakanyanya kwemuviri uye kuchikurudzira kudzokera shure kwezvirwere.
Inonyanya kusanganisira BB-UVB(>280~320nm), NB-UVB(311±2nm), PUVA(yekunwa, yekugezesa nemishonga uye yemuno) nedzimwe nzira dzekurapa. Mhedzisiro yekurapa yeNB-UVB yaive nani pane BB-UVB uye isina simba pane PUVA mukurapa psoriasis neUV. Zvisinei, NB-UVB ndiyo nzira inonyanya kushandiswa yekurapa ultraviolet ine kuchengetedzeka kwakanyanya uye iri nyore kushandisa. Kurapa neUV yekumusoro kunokurudzirwa kana nzvimbo yeganda iri pasi pe5% yenzvimbo yese yemuviri. Kana nzvimbo yeganda iri pamusoro pe5% yenzvimbo yemuviri, kurapwa neUV yemumuviri kunokurudzirwa.
3.Kurapa kwepsoriasis neNB-UVB
Mukurapa psoriasis, bhendi guru reUVB rinoshanda riri pakati pe308~312nm. Bhendi rinoshanda reNB-UVB(311±2nm) mukurapa psoriasis rakachena kupfuura reBB-UVB(280~320nm), uye mhedzisiro yacho iri nani, iri pedyo nemhedzisiro yePUVA, uye inoderedza erythematous reaction inokonzerwa nebhendi risingashande. Kuchengetedzeka kwakanaka, hapana hukama nekenza yeganda hwakawanikwa. Parizvino, NB-UVB ndiyo inonyanya kushandiswa pakurapa psoriasis.
Nguva yekutumira: Kukadzi-16-2023
